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Updated: Aug 14, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Modified Barcat balanic groove technique for hypospadias repair: experience with 295 cases
J S Barthold1, T L Teer, J F Redman
1Department of Urology, University of Arkansas College of Medicine, Little Rock, USA.
Purpose:
We reviewed the results of a large series of hypospadias repairs (311) using the modified Barcat balanic groove technique.
Materials And Methods:
All patients who underwent modified Barcat repair with closure of the divergent corpus spongiosum were included in our study and were seen or contacted for postoperative followup.
Results:
Of 295 patients available for followup 94% had excellent cosmetic results. The fistula rate after primary repair was 5% for a glanular or coronal meatus and 18% for a penile meatus, and meatal stenosis was rare. After secondary repair complications were common in patients with a penile meatus.
Conclusions:
The Barcat technique allows anatomically superior glans reconstruction in distal hypospadias repair. Fistula rates can be reduced by tissue coverage of the neourethra.
